Revenue Rx

 The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

Prepayment Review: When Oversight Becomes a Cash-Flow Nightmare

This week, I received three emails from community behavioral health organizations that all said some version of the same thin...

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The Most Dangerous Gap in Behavioral Health Isn’t Clinical It’s Operational

Why Good Behavioral Health Organizations Still End Up at Risk

Most compliance issues I see do not come from negligence or ba...

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The Myth of the Perfect Organization

Spoiler: We’re All Just Figuring It Out.

I think we all have a picture in our heads of what a “successful” organization look...

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Why Payment Posting Is the Most Overlooked Step in Healthcare RCM

In healthcare revenue cycle management, most of the focus goes to eligibility checks, claims submission, and denial follow-up...

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The Power of the Progress Note: More Than Just Documentation

In the complex world of healthcare, providers need to understand the power of their progress notes to represent services prov...

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Lessons Learned in the Trenches of Behavioral Health Payer Audits

Behavioral health providers face increasing scrutiny from commercial and government payers, with audits becoming more frequen...

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